Waiess, Elizabeth Ann
Waiess, Elizabeth Ann is an sole proprietor health care provider with primary practice located at 4970 Northwind Drive Suite 210 , East Lansing MI 48823-5030. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waiess, Elizabeth Ann can be contacted via phone (517) 336-9930.Contact Information
Primary practice address
4970 Northwind Drive Suite 210
East Lansing MI 48823-5030
Phone: (517) 336-9930
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301005767 | Michigan |
Profile Details
| NPI number | 1114998838 |
|---|---|
| LBN Legal business name | Waiess, Elizabeth Ann |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114998838 | NPPES |
| Michigan | Other | 680C347200 | BLUECROSS BLUE SHIELD |
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